Pancho - GAR-GUI-73

Code: GAR-GUI-73
Mercy ID: V-01229-01
Encounter Date: 05/19/2003
Last: Garcia padilla
First: Guillermina
DOB: 07/24/1973
County: Cobb
Street: 6862 Mableton Parkway
City: Mableton
State: GA

Zip

30126-

Home

(770) 912-2545

Family Status

Two parent family w/children

COB

Mexico

Gender

Female

Housing

Doubling Up

Education Level

some high school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	N/A	N/A	N/A
Father	N/A	N/A	N/A
Step Parent	N/A	N/A	N/A

Driver: YES
Relative: No
Stranger: No
Lives With: N/A
Name of School: N/A
Grade: N/A
Who Can't Pickup the Child
Authoritation Parent: No
Authoritation Child: No
DOY PERMISO: No
Limitado Educativo: No
Limitado Impresos: No
Limitado Caminar Latino: No

Intake: J. Perez
Data Entry: K. Aleman